2024 Lobbyist Registration Form - 6701 Collins Ave (David Martin) ., . .
6�70� Goll�ns Iave. �
MIAMI BEACH �F�EivFo
Offce of the City Clerk �
1700 Conven�ion Center Drive '�� �' 7 `°`"
Miami Beach, PL 33139
305.6737411 CITY OF MIAMI BEACH
OFFICE OF THE CI7Y CLERK
LOBBVIST REGISTRATION FORM
Lobbyisl means all persons employetl or retaineQ whelher paitl or not, by a pnncipal who seeks to encourage Ihe passage, defeat or
modification of any ordinance, resoWtion, action or decision of any wmmissioner; any action, decisioq rewmmendation of �he City
Manager or any Ciry boartl or committee; or any action,tlecision or recommendation of any City personnel during the time period of the
entire tlecision-making pmcess on such action, decision or recommendation tha� foreseeably will be heard or reviewetl by the Ciry
commission, or a City �oard or commillee. The term specifically indudes the principal as well as any employee engaged in lobbying
activilies. The term "Lobbyists' has specific exdusions. Please refer to Ciry Cotle Chapter 2, Ahicle VI I, Division 3, entitled"Lobbyists,"
for atltlitional information.
Inslmctions: Please complete all sections of this form antl submit�he comple�ed form,with�he applicable fee, ro the Office of the Ciry
Clerk. If you need more space to complete an answer, use a separate sheet(s) of paper. If you have nothing to report in a particular
sec�ion, you must wnte "none" or "n/a" in that section. Any change to any information originalry fled, or any additional Ciry
Commissioner or personnel who are also sought to be lobbietl shall require that Ihe lobbyist file an amendment to the regisUation form.
The lobbyist has a conlinuing duty lo suppty information and amend Ihe forms fled �hmughout Ihe period that the lobbying occurs.
Separate regisUation forms shall be required for each principal represen�ed on each specific issue.
1. LOBBYIST INFORMATION:
Rodriguez-Caballexo Nicholas
NAMEOFLoeeVIST (Lest) (Flrsl) (MitltlleName)
Bercow Radell Fernandez Laxkin &Tapanes, PLLC 200 S. Biscayne Blvd., #300, Miami, FL 33131
LOBBVISTBUSINESSNAMEANDADDRESS (NumberantlS�reep (CRyJ (State) (ZlpCode)
305-374-5300 nrodriKuez@brzoninQlaw.com
LOBBYISTBUSINESSTELEPHONENUMBER CELLULARTELEPHONENUMBER EMAILAODRESS
II. PRINCIPAL INFORMATION:
Mac6n David
NAMEOFPRINCIPAL (Les[) (FirS�) (MlddlaNeme)
TMG 67 Communifies LLC 3109 Grand Avenue, #349 Coconut Grove, Florida 33133
PRINCIPAL BUSMESS NAME ANO AO�RESS (Numbe�entl StreeQ (Gtty) (Sta�e) (Zlp Cotle)
305-416-4556 dmardnQterragroup.wm
PRINCIPALBUSMESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILA��RESS
Pvrsuan[�o City Cotle Sedion 2L82(h)�i)(a): A principal oi any mrpora�ion, patlnership, or o�her en�ity who appears as a lobbyis�on behalf of that
enti�y,wiroout special compensation or reimbursement for Ihe appearance,wl�etM1er tlirect, Indirect,or contingenL lo express suppotl o!or opposition ro
an item s�all registerwith Ihe Cled as requiretl by ihis subsection bu[shall not be requiretl to pay any regislra�ion fees.
If the principal is a Corporation, Partnership or Trust, the following information MUST be provided
pursuant to City Code Section 2-482(c�:
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(it none,write N/A): D Marlin
• NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLV,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST(if none,write N/A�: DdViC� MdYhn-1��)%
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.
III. ISSUE TO BE LOBBIED:
Describe with as much detail as is practical, including but not limited to a specific description where
applicable of a pending request for proposal, invitation to bid, or public hearing number.
Legislation and Development Approvals & Permitting Issucs,includutg but not limited ro the HPB,
Design Review Board, Planning Board, Board of Adjustment Land Use Development, City
Commission, and any City Workshops or Committees, if necessary, relating to the proper[y located
at 6701 Collins Avenue in Miami Beach,Alorida.
IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2-482�a)(4), list the City Commissioner or City personnel sought to be
lobbied, and whether the lob6yist has entered into any contractual relationship (paid or unpaid) with
said City Commissioner or City personnel from 12 months preceding such commencement of service
with the City to the present date, stating the general nature of the subject contrectual relationship.
Full Name of Individual and Contractual Relationship (If yes,explain) VES NO
Title of Person to be Lobbied
Staff for the Planning &Building Department None X
PubGc Works &Ciry AdministraHon, PB, HPB, BO None X
DRB, City Commission, and Mayor as necessary None X
Land Use & Sustainabili Committee None X
Pursuant to City Code Section 2-482�g), every registrant shall be required to state the extent of any
business, financial, familial or professional relationship, or other relationship giving rise to an
appearance of an impropriety, with any current City Commissioner or City personnel who is sought to
be lobbied as itlentifietl on the lobbyist registration form filed.
List any Business, Financial, Familial or Professional Relationship, or o[her relationship giving rise to an
a earance of im ro riet if none,write NIA :
None
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a
contingency fee is prohibited pursuant to City Code Sec. 2-485.3):
$475.00 per hour
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r .
The following six(6)queslions MUST be answeretl:
1) Pursuant to City Code Seclion 2-086, entitled'Pmhibitetl Campaign Contributions By Lobbyisis On Procurement Issues'�.
Ves x No: A v I bb ' a t tl' b'd f tl 'o t r serv'ces or on a oresenl or
o d' a df q ds eo 'o eneorservice9
2) Pursuant to City Code Section 2�490, entitletl"Prohibited Campaign Gontnbutions By Lobbyists On Real Estate Development
Issues".
Ves x No: A v �obbv' a o o d' a aaf t' f D I t A t 'th th CN or appl'eaYon
f h q t o ' a tl 'p fo h a t th C'N' Future Land Use Mao7
3) Pursuanl lo Ciry Code Section 2-082�h�, any person (except �hose exempt from the tlefnition of "lobbyisf' as set forih in
Section 2-081)who only appears as a representative o(a no4for-profit corporetion or entiry withwt special compensation or
reimbursement for the appearance,whether direct or indirect to express support of or opposition to any item, shall register wilh
lhe city clerk as required by ihis seclion, but shall not be required to pay any registration(ees.
Ves xNo: A v o e f a a t f r o ft co o f n fN 'tho t a 'al comoensaCon or
reimbursement?
4) Pursuant b Ciry Code Section 2-087, the term "lobbyisf' speciFlcally excludes the following persons Expert witnesses who
provide only scientifiq techniwl or other specialized informahon or testimony in public meetings�, any person who only appears
as a representative of a neighborhootl association without wmpensation or reimbursemenl for the appearence,whether direc[
indirect or contingent. lo express support of or opposition to any item�, antl any person who only appears as a represen�anve o(
not-for-pmft mmmunity based organizalion for Ihe purpose of requesting a grant withoul special compensation or
reimbursement for the appearance.
VesxNo: A v 'tl' Iv ['f' t h ' I [h o ' I"z d 'nforma['on� aooearina as a
o taC f 'nhb h tl o � f 'th t o � I moensat on or reimbursement or
p e [' q t f p f"t b d q t f lh p o f reQuest nq a nrant without
p 'al comp sation or reimbureement?
5) Pursuant ro City Cotle Section 2-091('1�, no campaign consultant shall lobby lhe City Commission for a period of 12 months
following ihe swearing in of any elected oHicial(s) for whom the campaign consWtant provided campaign consulting services
within the pasl election cycle. See Section 2-491 for more informa�ion.
Ves xNo: H 'tl d a ' If a t b nl member of the CiN Commission
'th' Ih p t I C I 7 If ol I' t th ' b t memberls)of the QN Commission:
Yes x No: It v ha �t b I tha 12 th ' t th I ct tl ff'c' I( 1 hom vou orov'tled campaian
Itinq 'ces was sworn in�
6) Pursuant to Ciry Code Section 2-082�a)�4�a., a lobbyist who has within the past election cycle provitled campaign consWling
services to an incumbent member of lhe City Commission(which lobbying acliviry is not otherv✓ise pro�ibited by Code section
2-491) shall disclose such particular service on his/her lobbyist regis�ralion form d sh II II dsclose sucM1 oarticular
5 bef I bb � q�h CN C mm ss on al a oubl'c meelinq.
Ves x No: H v o 'tl d a ' If q t b t mber o(the C'N Commission
'th' th P t I f I 4 It I f [lh ' b t b r(sl of the C N Commission'
Yes x No: If s o o m's tl dtl v re ec 'c �de T "n eachanoe for camoaipn
consultina services?
TO BE COMPLETE�9Y QTY CLERK'S STAPF ONLY
Annual Regis[ration fee: � ]�es[ ]No Amount Paitl f MCR Y �a[e Paitl
Lobbyls�RegisVa�ion Form receivetl antl v@rifletl Ey:
F:\CLER\{NLL\aFORMS\LOBBYISTFO0.M5\LobbyisfRepis[ra[ianFormNevisetl09�20-18REG.tlac ReviS¢tlW/20/2018
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�
VI. SIGNATURES UNDER OATH:
ON FEBRUARV 28 OF EACH YEAR EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A
SIGNED STATEMENT UNDER OATH LISTING LOBBYING EXPENDITURES AS WELL AS COMPENSATION
RECEIVED FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS BEEN ENGAGED TO LO BY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPENSATION U G HE REPORTING PERIOD.' G
Signature o1 Lobbyist Date �/ o /2Ll
I do solemnly swear or affirm that all of the foregoing facts, statements, and disdosures in this form are true and correct,
and that I have read or am familiar with ihe provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of
the Miami Beach City Code and all repo in e irements. �/�/q �
( 6
Signature of Lobbyist Date —, 1
Signature of Principal: Date �`��I `''�
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of Florida State of Florida
County of: Miam� adc County of: Miami-Dadc
Swom to (or a � med)and subscribed before me, Swom to (or affyrfied) and subscribed before me,
by means of physical presence by means of�physical presence
or 0 onf e notarization, or❑p,qline notariza � n, r
Ihis�day of 2��y this S,�Ftlay of�.EL.�20�1'�y
Nicholas RodriQuez- aballero David Martin
NAME OF LOBBVIST NAME OF PRINCIPAL
_Prqduced ID _Produced ID
/ O IDENTIFlCATION � FORMOFI�ENTIRCATION
1/Personall w / _✓Personally Known
�
Signature of Nota �P blic Si nalure of Notary Pu61ic
'���,�,, �vno( �tAAD .1'�-vwie-(7�
Name of Notary, Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped
(NOT �� oi�wapµ,os (NOTARYSEAL) i� , CARLADARRIETA
E :��� N �a v P elb seate or Fbdda
��.: Not6ryPublic�SUteofFlorltle C mmsso MHH84652
[anmisslonRNX]l692] � � T" ptyCo �ss�anExplres
yLomm.Evplra�Dr 16,1031 Oa r t). 2024
' The lerm I bb ist" 8t-0A �°fN�'1�fa ing persons'. "' �-�%
::..�
Expert wiNesses who provide only scientific,technical or other specialized information or testimony in public meelings; any person who
only appears as a representative of a neighborhootl association without mmpensation or reimbursement fo�Ihe appearance, whether
direcl, indirect or contingent, to express support of or opposition to any item', antl any person who only appears as a representative of
not-for-profit community basetl organization for the pu�pose of requesting a grant without special compensation or reimbureemenl for
the appearence.
Page 4 of 5
• , ..
^."� I ^ " ^, IBEAC !-!
Ciy of Miami Beach, 1700 Convemion Cemer Drive,Mlami Beach,Flondo 33139,ww.v.mlami6eachfl.gov
OfAce of fhe Cly Clerk
Rafael E. Gmnado, City Qerk CilyClerk@miamibeachfl.gov
TeP. 305.6737411, Foz: 305.6737Z54
NAME OF LOBBYIST: Nicholas Rodri¢uez-Caballero
1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT
Pursuant to City Code Section 2-485(d), the City Clerk shall notiTy any lobbyist (or
principal) who fails to file timely a Lobbyist Fee Expenditure and Compensation Statement
(Statement). In addition to any other penalties that may be imposed as provided in
Section 2-485.1, a fine of $50.00 a day shall be assessed for Statements filed after the
due date. The City Clerk shall notify the Miami-Dade County Commission on Ethics and
Public Trust of the failure of a lobbyist (or principal) to file the Stalement or pay the
assessed fnes after notification.
Any lobbyist, who fails to file the required Statement by April 30�" of each year, shall be
automatically suspended from lobbying until all fines are paid, unless the fne has been
appealed to the Miami-Dade County Commission on Ethics and Public Trust.
I hereby acknowledge that on February 28 of each year, I shall submit to the City Clerk a
signed Statement under oath listing all lobbyist expenditures, as well as compensation
received, for the preceding calendar year with regard to the specific issue on which I have
been engaged to lobby.
2) LOBBYIST WITHDRAWAL
Once an issue I have registered to lobby has concluded or I am no longer lobbying on
that issue, I shall immediately file a Notice of Withdrawal with the Office of the City Clerk.
3) ANNUAL LOBBYIST REGISTRATION FEE
I understand annual registration of all lobbyisis shall be required for each 12-month period
commencing October 1 of each year, and the fee for such annual registration shall be
$500.00 pursua t t ection 2-482 of the Miami Beach Ciry Code.
V ���ZH
Signature of Lobbyist Date
F:�CLEP\SPLL\eFOflM6LL099Y19iFOPMSLo�Eyls�PegisVMionPo�mRerise4 W+�420flEGEoc
Page 5 of 5
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